RECAP 


HX64076636 
R  A644.T7  As7  1 908  Simple  lessons  on  tu 


Simple  Lessons 


ON 


Tuberculosis  or  Consumption 


FOR  SCHOOL  CHILDREN  OF  THE 
SEVENTH  AND  EIGHTH  GRADES 


ii  mi 
Wasiiin 


Columbia  (Bntoertfttp 
intijeCttpofltogork 

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'"      Co>- 


SIMPLE  LESSONS 


ON 


TUBERCULOSIS  or   CONSUMPTION 

Willi  REFERENCE  TO  ITS  CAUSE 
AND  PREVENTION 


\)u.  W.I.  ROSEN  M  .  Director  Hygienic  Laboratory,  Public  Health  an.! 
Marine  Hospital  Service  of  the  United  States;  Dr.  E.  C.  SCHROEDER, 
Superintendent  Experiment  Station,  Bureau  of  Vnimal  Industry,  I  .  S. 
I  department  of  Agriculture,  and  EMILE  BERLINER,  Special  Committee 


PR  I  PARI  D  i  NDER   I  mi    DIRBC1  ION  Ol    nil 

Committbi  por  Prevention  op  Consumption  01    me 

•    i  \  i  i  ii  tn  \u\  i  IBS,  W  \    inn I>.  C. 

Ql  n   OEI  IROE  M.  SI  ERNBERO 
Chairman 


COP^  RIOH  Ml.  1900  V\    I  ill 

Committbi  i  •  ■  !••  Pri  vbntion  op  Co  oftmi 

\      OCIATBOCH  m-'i  iii     ,  Wa    HINOTON    I  '    I 


A  LESSON  IN  VENTILATION 

On  a  calm,  cool  day,  when  there  seems  to  be  no  current  of  air,  the 
direction  in  which  the  air  moves  in  a  room  can  be  shown  by  holding  a 
lighted  candle  before  an  open  window  or  door;  when  the  candle  is  held 
low  down  the  flame  will  point  into  the  room,  and  when  held  up  high  it 
will  point  out. 

(See  Page  14) 


CONTENTS 


The  Nature  of  Consumption 

PAGE 

What  is  Tuberculosie  or  Consumption ? 6 

What  Parte  of  the  Body  Does  <  ionsumption  Aifecl '.' »; 

Why  is  Tuberculosis  of  the  Lungs  Especially  Dangerous  t<>  Others?. .  6 
How  Are  Tubercle  Bacilli,  or  Consumption  Germs,  Scattered  by 

Persons? 7 

IImu   .\i«-  Tubercle  Bacilli,  or  Consumption  Germs,  Scattered  by 

Animals? 7 

Pasteurization  of  Milk B 

Large  Number  of  Victims  of  Tuberculosis 

What  is  the  ( Iharacter  <>f  Tuberculosis  or  Consumption ? 9 

What  Are  the  Early  Symptoms  of  Consumption ? 9 

Consumption  is  Nol  Inherited   1" 

With. mi  the  Tubercle  Bacillus  There  Can  Be  No  Consumption.    ...  in 


Conditions  that  Favor  the  Development  of  Consumption 

'he  Value  of  Pure  Ur  and  the  Need  of  Proper  Ventilation II 

low  Should  a  R i  Be  Ventilated?. II 

.ack  of  Plain,  Nourishing  I I 1"> 

■"cod  and  Air. 16 

.ack  ..I  Cleanliness 16 

.a<-k  of  Outdoor  Exercise  17 

ose  ofSleep 17 

arriage  of  the  Body 18 

<  lolds,  <  'atarrhs,  and  <  >ther  Disordei  -                   ...  lN 

louse  l»u-t 18 

lahitual  Indulgence  in  Mcohnlic  Drinks 19 

Vicious  Habits ...20 


Part  One 


THE  NATURE  OF  CONSUMPTION 


What  is  Tuberculosis  or  Consumption  ? 

Tuberculosis  and  consumption  are  two  names  for  one  dis- 
ease. The  disease  is  caused  by  the  growth  and  multiplica- 
tion of  a  minute  plant  in  the  body  of  a  person  or  an  animaL 
The  minute  plant  is  called  a  bacillus,  and  is  so  small  that  it 
must  be  magnified  several  hundred  times  before  it  can  be 
seen ;  it  is  spoken  of  as  the  tubercle  bacillus  or  consumption 
germ. 

The  presence  of  the  tubercle  bacillus  in  the  body  does  not 
always  cause  consumption.  When  the  germs  of  consumption 
get  into  the  body  a  struggle  occurs  between  the  germs  and  the 
cells  of  which  the  body  is  composed.  If  the  cells  are  victo- 
rious the  disease  does  not  develop ;  if  the  germs  are  victorious 
tubercles,  or  little  tumor-like  knots  or  nodules,  are  formed. 
This  is  tuberculosis. 


What  Parts  of  the  Body  Does  Consumption  Affect? 

Though  consumption  affects  the  lungs  more  commonly 
than  other  parts  of  the  body,  it  may  affect  any  part  of  it, 
such  as  the  liver,  the  intestine,  the  lymph  glands,  the  bones, 
the  skin,  the  eye,  the  coverings  of  the  brain,  etc. 


Why  is  Tuberculosis  of  the  Lungs  Especially 
Dangerous  to  Others? 

Tubercles  in  the  lungs  soften  and  break  down  after  a  while 
and  the  material  of  which  they  are  composed  is  coughed  up 
into  the  mouth.  This  material  often  contains  millions  of 
tubercle  bacilli  and  is  therefore  very  dangerous. 


How  Are  Tubercle  Bacilli,  or  Consumption  Germs, 
Scattered  by  Persons? 

Tubercle  bacilli,  or  consumption  germs,  are  commonly 
pic-,  ni  iii  large  numbers  in  the  material  coughed  up  by  per- 
sons  who  have  tuberculosis  of  the  Inn::-  or  iliroat.  They  are 
also  present  in  the  mouths  of  such  persons  and  in  the  little 
drops  of  fluid  sprinkled  from  their  mouths  and  noses  during 
coughing,  sneezing  and  talking.  Hence  it  is  through  the 
materia]  that  leaves  the  mouths  and  noses  of  consumptive 
persons  that  tubercle  bacilli  are  scattered. 

The  germ-laden  sputum  from  the  mouths  of  consumptives 
may  cling  to  towels,  glasses,  napkins,  handkerchiefs,  spoons, 
sheets,  pillow  cases,  -late-,  slate  pencils,  ami  numerous  other 
articles. 

Drinking  from  glasses  or  cup-  without  thoroughly  clean- 
ing them  after  they  have  been  used  by  others  ia  a  practice 
through  which  not  only  consumption  hut  al-o  -ore  throat, 
diphtheria,  scarlet  fever  and  -ohm-  oiler  diseases  may  be 
communicated  to  us. 

No  habil  i-  more  to  he  condemned  than  that  practiced  by 
many  persons  of  kissing  babies  ami  young  children,  ee 
eially  on  the  month. 

How  Are  Tubercle  Bacilli,  or  Consumption  Germs, 
Scattered   by   Animals? 

The  germs  of  consumption  may  be  presenl  in  meal  when 
it  i-  obtained  from  tuberculous  animal-,  but  the  most 
quenl  way  in  which  the  germs  of  consumption  from  animals 
reach  persons  is  in  milk,  cream,  ice  cream,  butter  and  ch< 
from  i uberculous  cow -. 


If  milk  were  a  transparent  fluid  like  water,  the  enormous 
number  of  bacteria  dairy  milk  usually  contains  would  be 
clearly  visible;  that  is,  it  would  look  cloudy.  Disease  germs, 
including  the  tubercle  bacillus,  are  readily  destroyed  by 
heat.  Raw  milk  is  apt  to  be  dangerous,  because  it  often  con- 
veys other  diseases  as  wTell  as  tuberculosis,  such  as  scarlet 
fever,  diphtheria,  typhoid  fever,  etc. 

We  can  make  sure  that  the  germs  of  the  diseases  named  in 
milk  are  destroyed  by  Pasteurizing  or  by  simply  scalding  it, 


Pasteurization  of  Milk.:: 

Heating  milk  a  short  time  just  hot  enough  to  kill  the 
disease  germs  it  may  contain  is  known  as  Pasteurizing  it, 
Milk  boils  at  about  212°  Fahrenheit,  or  the  temperature  at 
which  water  boils.  To  kill  the  disease  germs  that  are  of 
more  common  occurrence  in  milk,  it  should  be  heated  to 
140°  F.  for  20  minutes  or  to  150°  F.  for  10  minutes.  Pas- 
teurized milk  and  also  scalded  milk  should  be  cooled  quickly 
and  should  be  kept  cold  and  covered  until  it  is  used. 


Large  Number  of  Victims  of  Tuberculosis. 

It  is  estimated  that  over  150,000  people  die  of  consump- 
tion every  year  in  the  United  States;  so  that,  unless  the  ex- 
isting conditions  are  improved,  8  millions  of  the  people  now 
living  in  our  country  are  destined  to  die  of  consumption. 
The  disease  affects  the  old  and  the  young  and  is  particularly 


*Sc  called  after  Louis  Pasteur,  a  celebrated  French  scientist,  win 
vented  and  introduced  this  important  process  for  f < >< ►< I  products. 


deadly  between  the  ages  of  L5  and  40  years,  which  is  the 
period  of  greatesl  vigor  and  usefulness. 

Ii  is  further  estimated  thai  oearly  a  quarter  of  the  dairy 
cows  from  which  cities  obtain  their  milk-supply  are  affected 
more  or  less  seriously  with  consumption. 

Tuberculosis  or  consumption  causes  greater  Losses  and  de- 
stroys more  lives  than  any  other  disease. 

What  is  the  Character  of  Tuberculosis  or 
Consumption? 

Tuberculosis  is  usually  an  insidious,  slow  disease,  which 
may  !><■  in  the  body  a  long  time  before  it  causes  a  noticeable 
change  from  health.  Later  on  it  causes  general  weakening, 
loss  of  appetite,  a  more  or  less  severe  cough,  bleeding  from 
the  Lungs,  loss  of  flesh,  and  other  conditions  by  which  it  is 
easily  recognized. 

At  times,  however,  tuberculosis  may  be  very  acute,  and 
may  kill  a  person  in  a  few  weeks.  To  this  rapid  form  of  the 
disease  1 1  j « -  name  of  galloping  consumption  has  been  given. 

The  insidious,  concealed  nature  of  tuberculosis  often  pre- 
vents its  detection  during  its  early  stages;  hence,  as  those 
who  imi-i  cough  and  spil  can  never  be  certain  thai  they  are 
free  from  consumption,  all  persons  should  make  it  a  rule 
never  to  spil  carelessly,  for  fear  thai  they  may  scatter  die 
ease  germs. 

What   Are  the    Early  Symptoms    of  Consumption  ? 

Among  the  early  symptoms  of  consumption  the  follow- 
ing may  !><•  named:  shorl  periods  of  fever  thai  repeal  them- 
selves daily,  especially  in  the  afteri n  and  evening;  un- 
usual quickening  of  the  bearl  beats  after  slight  exertion  :  Loss 


of  weight  and  strength;  lack  of  appetite  or  otherwise  dis- 
turbed digestion  for  which  no  satisfactory  explanation  can 
be  found,  etc. 

It  is  important  that  consumption  should  be  recognized  in 
its  early  stage,  because  the  longer  the  disease  has  been  in  the 
body  the  more  difficult  it  is  to  cure. 

Cough  is  not  always  one  of  the  early  symptoms  of  con- 
sumption. 

Consumption  is  Not  Inherited. 

Consumption  is  not  inherited,  and  large  families  of  chil- 
dren of  consumptive  parents  may  pass  through  life  without 
the  slightest  trace  of  the  disease. 

The  tendency  for  tuberculosis  to  run  in  families  is  largely 
due  to  the  fact  that  the  children  of  consumptive  parents  are 
exposed  from  the  beginning  of  their  lives  to  the  tubercle 
bacilli  scattered  by  the  parents  during  coughing,  sneezing, 
etc. 

Without  the  Tubercle  Bacillus  There  Can   Be  No 
Consumption. 

Consumption  cannot  develop  unless  the  tubercle  bacillus, 
or  consumption  germ,  enters  the  body.  It  is  therefore  of  the 
greatest  importance  to  destroy  the  sputum  of  consumptive 
persons  and  to  avoid  the  use  of  dairy  products  from  con- 
sumptive cows. 

Many  unhygienic  conditions  favor  the  development  of 
consumption  and  other  diseases,  and  often  the  tubercle 
bacillus  is  harmless  without  the  aid  of  these  conditions.  It 
is  therefore  advisable  to  live  hygienic  lives. 

Some  of  the  conditions  that  favor  the  development  of  con- 
sumption will  be  given  separate  consideration. 

10 


Part  Two 

CONDITIONS  THAT  FAVOR 
THE  DEVELOPMENT  OF  CONSUMPTION 


Dlsease  germs,  like  the  seed  a   farm*  r  plants,   1 
suitable  soil  and  favorable  conditions  for  their  growth, 
and  there  are  qo  germs  of  which  this  is  more  certainly  true 
than  those  of  tuberculosis. 

Among  the  common  conditions  thai  prepare  the  body  for 
the  growth  of  the  tubercle  bacillus  within  it,  the  following 
may  be  named: 

i.  Living  in  poorly  lighted,  poorly  ventilated,  or  damp 
houa  8. 

-.   Lack  of  plain,  aourishing  food. 

3.   Lack  of  cleanliness. 

I    Lack  ni'  outdoor  ex<  rcise. 

•").   Lose  of  sleep. 

6  Cramping  the  lungs  and  organs  of  digestion  by  habit- 
ually standing,  walking  or  sitting  in  a  bent  or  stooped  posi- 
tion. 

7.  Neglected  colds,  coughs,  and  other  disorders,  and  long- 
continued  catarrhs  of  the  nose  and  throat  which  maj  I" 
caused  bj  breathing  air  laden  w  ith  dust. 

8.  Bouse  dusl  in  general,  from  carpets,  hangings,  etc. 

9.  Intemperance  and  indulgence  in  alcoholic  drink-. 

I<>.  Vicious  persona]  habits,  including  the  use  of  tobacco 
1 1\  growing  boys. 


The  Value  of  Pure  Air  and  the  Need  of 
Proper  Ventilation. 

An  abundant  supply  of  pure,  fresh  air  is  the  most  power- 
ful natural  agent  for  the  prevention  of  consumption  among: 
those  who  are  free  from  the  disease  and  for  the  cure  of  those 
who  are  affected  with  it. 

We  should  be  in  the  open  air  as  much  as  possible;  we 
should  sleep  in  well  ventilated  bed-rooms,  preferably  with 
windows  wide  open;  we  should  avoid  crowded  and  insuffi- 
ciently ventilated  places,  and  we  should  make  sure  that  the 
rooms  in  which  we  live  and  work  are  properly  supplied  with 
fresh  air.  There  is  much  less  danger  that  we  will  be  in- 
jured by  a  little  draft  than  by  breathing  stale  air.  When 
the  weather  is  cold  we  should  keep  our  bodies  warm  by 
clothing  them  properly  and  not  by  shutting  out  the  freshr 
pure  air.  If  all  persons  breathed  the  full  amount  of  pure 
air  their  bodies  require,  the  frequency  with  which  con- 
sumption occurs  would  be  greatly  reduced,  and  some  other 
diseases  that  cause  discomfort  and  suffering  would  cease  to 
exist. 

Crowded,  overheated,  damp,  and  improperly  lighted  and 
badly  ventilated  residences,  work-shops,  bed-rooms,  living 
rooms,  and  places  of  assembly  are  among  the  most  important 
conditions  that  favor  the  propagation  of  consumption. 

How  Should  a  Room  Be  Ventilated? 

When  the  windows  of  a  room  are  opened  the  stale  air 
passes  out  above  and  the  fresh  air  in  below;  hence,  to  secure 
proper  ventilation,  the  windows  should  be  open  both  from 
above  and  below.     On  a  calm,  cool  day,  when  there  seems  to 

14 


be  no  current  of  air.  the  direction  in  which  the  air  moves  in  a 
room  can  be  shown  by  holding  a  lighted  candle  before  an 
open  window  or  door;  when  the  candle  is  held  low  down  the 
flame  will  poinl  into  the  room,  and  when  neld  up  high  it 
will  point  out.  This  simple  experiment  3hows  that  we 
should  have  opening  Iii.uli  up  us  well  as  low  down  in  our 
room-  to  secure  a  constantly  incoming  supply  of  pure  air  and 
to  provide  a  passage  for  the  outgoing  stale  air. 


Lack  of  Plain,  Nourishing  Food. 

Poorly   cooked  and  otherwise   unwholesome   E 1   causes 

various  troubles  of  the  digestion  through  which  the  natural 
power  of  the  body  to  prevent  the  growth  and  multiplication 
of  the  tubercle  bacillus  and  other  germs  within  it  is  greatly 
weakened  and  often  wholly  destroyed. 

Wholesome,  nourishing  f 1  does  not  mean  high-priced 

delicacies,  which  are  often  more  harmful  than  nutrition-;  n 
means  the  ordinary,  simple  articles  of  food  that  can  1"-  ob- 
tained in  abundant  quantities  for  the  price  mosl  people  are 
able  to  pay.  and  well  cooked  in  a  cleanly  manner. 

Some  member  of  every  family,  preferably  the  wife,  should 
understand  how  to  prepare  food  so  thai  it  will  1m>  palatable 
and  digestible,  and  even  though  she  does  not  do  the  cooking 
herself,  Bhe  Bhould  keep  the  culinary  department  of  hei 
household  under  close  observation,  and  make  sure  that  it  is 
at  all  times  a  thoroughly  dean  place,  and  that  the  cook  is 
free  from  consumption  .- 1 1 1 <  1  is  otherwise  a  healthy,  cleanly. 
careful  and  competent  person. 

'I'll,  education  of  a  girl  is  incomplete  until  sht  has  learned 
In, u  to  i,i">l:  plain,  palatabU  dish* 


Food  and  Air. 

There  is  a  close  relationship  between'  food  and  air.  The 
best  food,  perfectly  prepared,  frequently  cannot  be  digested 
in  quantities  sufficient  for  the  preservation  of  health  unless 
a  sufficient  amount  of  pure  air  is  breathed. 


Lack  of  Cleanliness. 

Cleanliness  of  the  body,  of  clothing,  habitation,  and  food 
and  of  everything  with  which  we  come  in  contact,  is  an  im- 
portant means  of  protection  against  tuberculosis  and  other 
infectious  diseases.  No  better  hiding  places  can  be  found 
for  tubercle  bacilli  and  other  disease  germs  than  dirt  and 
rubbish. 

The  use  of  soap  destroys  many  disease  germs  and  removes 
many  more  than  it  destroys,  and  thus  makes  them  harmless. 
One  of  the  relatively  few  things  in  which  persons  differ  from 
the  lower  animals  is  the  use  of  soap.  Soap  is  an  emblem  of 
civilization. 

Disease  germs  may  be  transferred  from  unwashed  hands 
to  food  and  with  such  food  into  the  mouth ;  hence,  as  we 
never  know  what  filth  may  have  been  in  contact  with  the 
numerous  articles  Ave  handle,  our  hands  should  ahvays  be 
washed  before  we  touch  food,  either  to  prepare  or  to  eat  it. 
Fruit  that  is  used  in  a  raw  state,  especially  the  kind  we  do 
not  peel,  should  be  washed  before  we  eat  it. 

Remember  also  that  clean  and  noble  thoughts  as  well  as 
cheerfulness  are  conditions  favorable  to  the  preservation  of 
health. 


16 


Lack  of  Outdoor  Exercise. 

Lack  of  outdoor  exercise  affects  mainly  people  who,  from 
necessity,  live  much  indoors.  The  clerk,  1 1 1 « ■  lawyer,  the 
merchant  and  the  mechanic  as  well  as  the  teacher  and  the 
scholar,  spend  many  hours  in  rooms  where  the  air  may  be- 
come stale  and  impure;  Inner,  such  persons  should  take 
daily  walk-  in  the  open  air  and  should,  if  possible,  make  fre- 
quenl  excursions  into  the  country. 

The  besl  results  are  obtained  from  exercise  when  it  is 
taken  in  the  open  air.  Exercise  should  be  moderate  in 
amount  and  should  be  of  a  kind  thai  uses  all  parts  of  the 
liody. 

One  of  the  evils  of  our  modern  athletics  is  the  strife  to 
break  records.     Overtraining  does  xnon  harm  than  good. 

Loss  of  Sleep. 

Sufficient  Bleep  is  as  accessary  for  the  maintsnance  oi 
health  as  \\  holes* •  f 1  and  pure  air. 

One-third  of  our  lives  is  -pent  in  bed;  hence  the  impor- 
tance of  proper  bed-rooms. 

A  thoroughly  satisfactory  sleeping  apartment  musl  in- 
well  ventilated,  and  must  be  so  constructed  that  the  sun  can 
shine  into  it  during  at  least  a  pari  of  the  day.  Damp  rooms 
or  rooms  with  moist  walls,  and  interior  dark  rooms  or  rooms 
without  wiitdows  (no  matter  how  well  they  are  ventilated 
through  air-shafts  or  otherwise),  should  not  be  used  as  bed 

I'll!  I|||  «. 

Young  people  should  always  make  up  for  1"-.-  "i  sleep, 
and  should  not  takt  so-called  nervi  tonics  to  correcl  the  feel- 
ing of  discomfort  caused  bj    insufficient  sleep. 


Carriage  of  the  Body. 

The  normal  position  of  the  body  is  erect;  the  head  should 
be  carried  high,  with  its  weight  supported  on  the  backbone. 

A  stooped  position,  a  curved  back,  an  open  mouth  and  a 
hanging  chin  are  conditions  that  favor  the  development  of 
•consumption. 

Cramping  the  chest  by  stooped  walking  or  by  sitting  in  a 
stooped  position  prevents  the  lung  from  expanding  as  fully 
as  it  should,  and  under  this  condition  the  blood  does  not  re- 
ceive an  abundant  supply  of  air. 

It  is  a  good  practice  to  inflate  the  lungs  fully  several  times 
each  day  by  taking  deep  breaths  in  the  open  air. 

Colds,  Catarrhs,  and  Other  Disorders. 

We  are  all  liable  at  times  to  become  affected  with  coughs, 
colds,  catarrhs  and,other  disorders,  which  may  help  the  tuber- 
cle bacillus  to  enter  our  bodies  and  cause  consumption. 
Hence  these  little  disorders  should  not  be  neglected  or  treated 
as  unimportant.  While  they  continue  they  have  a  similar 
relation  to  our  bodies  that  an  unguarded,  open  door  bears  to 
a  strong  house.  The  longer  the  door  is  open  the  more  time 
a  thief  has  to  enter,  and  the  longer  the  little  disorders  remain 
the  more  time  the  tubercle  bacillus,  which  under  normal  con- 
ditions would  often  be  unable  to  harm  us,  has  to  get  in. 

House  Dust. 

When  house  dust  contains  tubercle  bacilli  or  other  disease 
germs  they  may  remain  alive  and  dangerous  many  months, 
because  they  are  shielded  from  direct  sunlight.     But  this  is 

is 


not  the  only  reason  why  house  dust  favors  the  development 
of  consumption  and  other  diseases. 

When  air  thai  contains  dust  is  breathed,  the  dust  is  de- 
posited on  the  Lining  of  the  nose  and  throat,  and  this  delicat 
lining  is  irritated  and  injured  in  a  way  thai  aids  the  pass 
of  disease  germs  through  it  into  the  body. 

We  should  therefore  attempl  to  avoid  dust,  and  house  dust 
especially,  as  much  as  possible,  and  to  do  so  we  should  have 
no  unnecessary  draperies  and  hangings  and  no  nailed-down 
carpets,  etc.  Bare  floors  and  rugs  are  more  hygienic  than 
nailed-down  carpets. 

Carpets  and  rugs  should  be  swept  with  a  carpet-sweeper 
and  not  with  a  hard  broom,  and  bare  floors  should  be  swept 
with  ;i  soft  broom  or  wiped  with  a  moist  cloth.  Dusting 
with  dry  cloths,  brushes,  and  feather  dusters  Btirs  up  dust, 
and  the  more  dusl  is  stirred  up  in  a  house  the  more  dai 
<hi-  ii  is.  Removing  dust  with  a  damp  doth  i-  more  hy- 
gienic. 

During  sweeping  tin  windows  of  a  r<><>m  should  In  !>,■ 
from  il"  t<>i>  down  "ml  kept  closed  "f  the  l'<>ii<>m.    Windows 
open  ai  the  bottom  let  air  blow  in  and  no!  mit.  and  therefore 
cause  tli^  du-i  that  rises  during  sweeping  i<>  !><•  blown  farther 

into  the  house  and  nol  out  of  it. 

Habitual   Indulgence   in   Alcoholic   Drinks. 

The  habitual  use  of  alcoholic  drinks,  even  in  moderati 
quantities,  is  regarded  by  high  medical  authorities  as  a  con- 
dition  that    favor-   the  development   of  consumption.     I 

jive  indulgence  in  alcoholic  drinks  so  strongly  favors  the 
development  of  consumption  that  f< -\\  habitual  drunkards 
-  -  ape  t  he  diseo 

to 


Vicious  Habits. 

Vicious  habits,  among  which  the  use  of  tobacco  by  grow- 
ing boys  may  be  included,  rob  the  body  of  strength  and  pre- 
pare it  for  the  growth  of  the  tubercle  bacillus  and  the  de- 
velopment of  consumption. 

Viciousness  and  intemperance  are  the  constant  aids  to- 
ill  health,  and  disease  is  mostly  the  fine  we  pay  for  living  im- 
proper lives  and  neglecting  the  laws  of  health. 


20 


DUE  DATE 


awn  o 


1993    M/.R3  1 


ws- 


m2 


6W4 


mt 


12  1995 


DEC  3- 


1995 


W*- 


f^ 


»•»' 


XT~^ 


Printed 
in  USA 


COLUMBIA  UNIVERSITY  LIBRARIES 


0037540300 


RA644.T7 

As7 

1908 
Associated  charities  of 

the  district  of  Columbia.     Com- 
mittee for  prevention  of  consump- 

Simple  lessons  on  tuberculosis   or 
consumption.  1S  ^ 


